2012 enrollment solutions webinar
DESCRIPTION
Enrollment Strategies to Effectively managing change in the 2012 Annual Enrollment Period Presented by David Koterba Senior Vice President – Healthcare Solutions Merrill CorporationTRANSCRIPT
today’s SPEAKER
David Koterba
Senior Vice President – Healthcare Solutions
Merrill Corporation
@merrillconnect
#enrollmentcomplete
session OBJECTIVES
Objectives:– Review the changes impacting the 2012 Annual Enrollment Period– Identify the keys to effectively managing change– Discuss detailed action items for enhanced communications
Goal:
To think differently about how current enrollment Processes can redefine your members’
enrollment Experience
2012 ENROLLMENT CHANGES AT-A-GLANCE
Health Plans are forced to do more with less, at a lower cost!
EVOLVING REGULATIONS
QUALITY & COST CONTROLS
COMPRESSED TIMELINES
evolving REGULATIONS
• Ad-hoc communications definitions– Customer service correspondences pertaining to unique
questions or issues affecting small groups of enrollees
• Additional formats to convey information to members with disabilities– Braille, Large print, Translations
• Disclaimer Translations– Translated disclaimers required under English disclaimers in
member materials
quality & cost CONTROLS
• Newly defined cost structures have changed the breakdown of Medical Loss Ratios (MLRs) – For 2011 and moving forward, plans must operate within an
85/15 split
• Reduced allocation for staffing, overhead and marketing expenses force plans to look for cost-controlling marketing and communication options that won’t detract from the member experience
• STAR Rating to be included in pre-enrollment materials as well as on ‘Medicare Plan Finder’ website
compressed TIMELINES
keys TO EFFECTIVELY MANAGING CHANGE
keys to EFFECTIVELY MANAGING CHANGE
Managing disparate data into a singular workflow:– Bring all relevant data into a single production data repository
(PDR) – Normalize the data and then run advanced data quality
processes against this consolidated view– Tag each data record with a 2-D barcode– Reporting becomes more streamlined, efficient and is able to
deliver advanced business intelligence
keys to EFFECTIVELY MANAGING CHANGE
Creating highly-targeted communications combining data and external market information:– Append third-party, to available member data, to create a more
comprehensive view– Keep communications assets in an environment that allows for
tight version control – Address updates related to the Affordable Care Act as they
unfold, providing guidance to the member
keys to EFFECTIVELY MANAGING CHANGE
Employing a workflow that combines personalized and static materials in a single production run:– Create communications that are delivered to the correct recipient
within a framework that includes audit and tracking mechanisms– Organize data, campaigns and distributions that accommodate
tightened SLA’s and reporting requirements – Ensure that all data and information is tagged at each step of the
production process
keys toEFFECTIVELY MANAGING CHANGE
Tightly managing inventory levels, controls and cost:– Utilize data to effectively target members with only applicable
materials to eliminate waste and obsolescence– Maintain a real-time view into your materials usage, availability
and distributions– Use historical usage and business intelligence to tighten print
orders and set re-order points driving down overall costs – Allow for a clear understanding of how those materials are being
received in the market as well as by various sales channels
keys toEFFECTIVELY MANAGING CHANGE
Leveraging robust reporting within the materials production and distribution process: – Track and provide enhanced reporting via 2-D barcode
application and monitoring – Utilize Inventory, Agent /Broker, Detailed Pre and Post
Enrollment usage reports to effectively manage costs– Leverage workflow production reports to further enhance
efficiencies based on new market realities– Closely monitor piece level integrity to ensure strict SLA
adherence throughout the enrollment process
enrollment BEST PRACTICES
Manage various data sources through an advanced PDR to normalize, standardize and report on via 2-D barcoding
Create highly personalized and targeted enrollment communications to provide strong member materials
Ensure that enrollment workflows are designed to combine personalized and static materials in a single production run
Maintain accuracy, quality and strict adherence to established service level agreements throughout the enrollment process
Ensure communications are tracked, reported and archived at the record, page and piece level
thank YOU
866-367-9110 | [email protected] | www.merrillcorp.com/enrollment-complete